MEDICARE: PHYSICIANS ELDERCARE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CH9289	OTHER		RR MRC
3	012WF	OTHER	NC	BCBS
4	H140/45282	OTHER		PARTNERS

General Provider Information

NPI Number	:	1023083268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS ELDERCARE PA

Provider Business Mailing Address
First Line	:	5750 JOHNSTON ST STE 205
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-5334
Country	:	US
Telephone Number	:	337-408-0797
Fax Number	:	337-943-0846

Provider Business Practice Location Address
First Line	:	5306 NC HIGHWAY 55 STE 105
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-7812
Country	:	US
Telephone Number	:	337-991-9276
Fax Number	:	337-943-0846

Authorized Official
Title or Position	:	SR VP OF ADMINISTRATIVE SERVICES
Name	:	NICOLE HOWARD
Credential	:
Telephone Number	:	337-408-0797

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	07/24/2025

Similar Medicare Providers

1174606917 — CAROL MINNETTE GIBBS MD
Practice Location Address:

5306 NC HIGHWAY 55 , SUITE 105
DURHAM, NC
27713-7812

Practice Phone: 919-451-7870
Practice Fax: 919-363-7697

1477248409 — MICHELE ANN BARTS FNP
Practice Location Address:

5306 NC HIGHWAY 55
DURHAM, NC
27713-7812

Practice Phone: 877-279-5960
Practice Fax: 877-384-3106

1598745325 — TAYLOR K GOODNOUGH DO
Practice Location Address:

5306 NC HIGHWAY 55 STE 105
DURHAM, NC
27713-7812

Practice Phone: 919-646-4858
Practice Fax: 919-679-7112

1831149814 — DR. DAVID WILKINSON BELL IV M.D
Practice Location Address:

5306 NC HIGHWAY 55 STE 105
DURHAM, NC
27713-7812

Practice Phone: 919-457-1517
Practice Fax: 919-363-7697

1114014511 — GERARDO E ARNAEZ ZAPATA MD
Practice Location Address:

5306 NC HIGHWAY 55 STE 105
DURHAM, NC
27713-7812

Practice Phone: 337-991-9276
Practice Fax: 336-360-8560

1619150141 — PARK OPHTHALMOLOGY
Practice Location Address:

5306 NC HIGHWAY 55 , SUITE 102
DURHAM, NC
27713-7812

Practice Phone: 919-544-5375
Practice Fax: 919-544-5829

Directions to “PHYSICIANS ELDERCARE PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.